Intraosseous and intravenous access comparison
“Increasing evidence supports intraosseous (IO) access due to faster medication administration and higher first-attempt success rates compared to intravenous (IV) access. However, the impact on patient outcomes has been inconclusive” Lee et al (2024).
IO access training for paramedics – Full Text
“The aim of this technical report is to describe the process of development and the final product of the LMS as a research and educational tool to scaffold remote learning of emergency IO skills by paramedics-in-training” Jolly et al (2024).
Limb length discrepancy after intraosseous line placement
“We will present the case of a 6-year-old girl who presented with a 3-cm limb length discrepancy after intraosseous line placement at age 14 months without other known history of trauma or infection to account for the growth arrest” Kleinsmith and Kowalski (2024).
Upper or lower extremity intraosseous access
“In this large prehospital dataset, upper extremity IO access was associated with a small increase in the odds of ROSC in comparison to lower extremity IO access” Smida et al (2024).
Intraosseous vascular access in prehospital cardiopulmonary resuscitation – Full Text
“We aim to determine how IOVA was integrated into management of vascular access during out-of-hospital cardiac arrest (OHCA) resuscitation” Agostinucci et al (2024).
Intraosseous access complication rates
“The objective of this review is to examine the current literature regarding intraosseous access in trauma resuscitation, focusing on interventions and complication rates” Chiang and Teichman (2024).
Intraosseous infusion in burn patients
“The use and experience with intraosseous infusion (IO) in extremely severe burns are still limited. We report efficacy and safety results from nineteen burn patients treated with IO between June 2020 and December 2022” eWangt al (2024).
Drug extravasation during EZ-IO use in pediatric patients
“The present study aimed to investigate the risk factors for extravasation as a complication of EZ-IO use in pediatric patients” Sasaoka et al (2023).
Tibial or humeral intraosseous vascular access
“We did not detect an association between the first-attempted intra-arrest IO site (tibia vs. humerus) and clinical outcomes. Clinical trials are warranted to test differences between vascular access strategies” Brebner et al (2023).
Review of six FDA-approved intraosseous access devices – Full Text
“However, little is known regarding the application times, placement accuracy, and end-user ratings of battery-powered and manual IO access devices. This study was specifically designed to fill these knowledge gaps on six FDA-approved IO access devices” Kay et al (2023).
Simulated intraosseous needle insertion teaching feedback – Full Text
“A total of 23 advanced care paramedics (ACPs) participated in the study and received feedback in the form of KR, KP, and intrinsic feedback while using the intraosseous (IO) access simulator” Micallef et al (2023).
EMS simulation-based curriculum includes intraosseous catheterization
“The primary outcome was performance of intraosseous catheterization (IO), bag-valve-mask ventilation (BVM), and supraglottic device placement (SGD), measured across three time points” Lee et al (2023).
Neonatal intraosseous infusion simulator – Full Text
“Our models should serve as an IO training simulator for EMS physicians in order to practice the complex task of correctly placing an IO infusion needle in a newborn in emergency situations” Eifinger et al (2023).
Intraosseous hypertonic saline administration – Full Text
“This case report highlights an alternative route in administering 3% saline, intraosseous vascular access, when other options have been exhausted” Juarez et al (2023)
Intraosseous access device in a code cart – Full Text
“Staff could find intraosseous access equipment more quickly (23.9 versus 46.4 seconds; P = 0.003). In addition, staff reported they were less likely to open the wrong drawer or grab the wrong equipment and that the redesigned code cart was overall more well organized than the original code cart” Frazier et al (2023).
IV or IO access during out-of-hospital cardiac arrest – Full Text
“The IVIO trial is an investigator-initiated, randomised trial of intravenous vs. intraosseous vascular access during adult non-traumatic out-of-hospital cardiac arrest in Denmark” Meilandt et al (2023).
Intraosseous cannulation for adults and pediatrics
“The position of the Association for Vascular Access is that intraosseous cannulation should be employed by qualified clinicians in all critical situations when vascular access is not established” Lau and Thompson (2023).
Intraosseous access in pediatric emergency transfer service
“Survival in retrieved neonatal and pediatric patients who required IO is higher than previously described in pediatric and adult cohorts. Early insertion of an IO facilitates early volume expansion, delivery of critical drugs, and allows time for retrieval teams to gain more definitive venous access” Joerck et al (2023).
Nurses experience of intraosseous access – Full Text
“Our findings highlighted a sub-optimal level of knowledge of the IO procedure, little experience of this practice in clinical contexts, also associated with a lack of adequate protocols and devices available to nurses” Cicolini et al (2023).
Intraosseous blood transfusion complications
“The aim of this systematic review is to synthesise the existing evidence describing the risks of red cell haemolysis in IO blood transfusion” Ellington et al (2023).
Intraosseous access in term and preterm neonates – Full Text
“Intraosseous access is a feasible option for emergency administration of vital drugs and fluids in newborns undergoing resuscitation when an umbilical venous catheter is impossible to place” Schwindt et al (2023).
Teaching intraosseous access for pediatric cardiac arrest
“Using an egg to teach and learn about IO access could be considered a methodology that is equally effective as using a chicken bone, with the advantage of achieving IO access in a lesser amount of time” Márquez-Hernández et al (2023).
Powered intraosseous device clinician review
“These findings highlight the value of clinician/user input and demonstrate EMS providers are more satisfied with a powered IO system featuring design elements intended to enhance safety and ease-of-use” Jones et al (2023).
Intraosseous access malposition in younger children
“This study uses a radiographic approach to determine the appropriate IO needle length and access site to minimize the risk of malposition in children younger than 2 years” Chung et al (2023).
Intraosseous access for trauma resuscitation – Full Text
“We focused on severe trauma patients and conducted a systematic review to evaluate the efficacy and efficiency of intraosseous (IO) access compared to intravenous (IV) access for trauma resuscitation in prehospital care” Wang et al (2023).
Intraosseous route for vascular access
“The IO route was significantly associated with higher success rates of route establishment, epinephrine administration, and shorter time-to-epinephrine in the prehospital resuscitation of adult patients with OHCA” Yang et al (2023).
Anatomical sites for intraosseous needle insertion – Full Text
“Although a high percentage of paramedics were able to verbally identify the correct location for IO placement, fewer were able to locate the insertion site on a human volunteer” Berger et al (2023).
Nursing staff knowledge of intraosseous access – Full Text
“The aim of this study was to analyse the level of knowledge of nursing staff working in emergency departments regarding the management of the intraosseous vascular access devices” >Ibarra Romero et al (2023).
Intraosseous access training in rural and remote areas – Full Text
“This technical report describes the delivery of a fundamental skills workshop to provide hands-on training to rural and remote healthcare professionals using 3D-printed simulators purposefully designed following design-to-cost principles” Siraj et al (2022).
Intraosseous infusion skills training – Full Text
“This technical report aims to address these concerns by describing the development of an alternative, affordable, and reliable IO drilling system for training use” Clarke et al (2022).